Found: work • +£0.594m Reserve Claims from the Labour Markets Evaluation and Pilots (LMEP ) Fund for Endometriosis

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many children of which biological sex were prescribed puberty blockers in each year since 2010.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Gonadotropin-releasing hormone agonists or ‘puberty blockers’ are used to treat several medical conditions in children and young people. These include precocious puberty, some forms of cancer, endometriosis and gender dysphoria. Information on biological sex is not held in the format requested.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce the average time taken for an endometriosis diagnosis.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Care for menstrual problems including endometriosis is a 2024 priority for implementing the Women’s Health Strategy. We are investing £25 million in establishing women’s health hubs, which will play a key role in improving access to care for menstrual problems including suspected endometriosis.

Through the NHS Delivery Plan for tackling the COVID-19 backlog of elective care, we are increasing activity through dedicated and protected surgical hubs that conduct planned procedures only. Surgical hubs are focusing on providing high-volume low-complexity surgery such as laparoscopies for suspected endometriosis. As of March 2024, 48 surgical hubs conduct gynaecological procedures.

Community diagnostic centres (CDCs) are playing an important part in tackling the backlogs of people waiting for diagnostic tests, which includes checks, tests, and scans for patients on gynaecological pathways, including those with endometriosis. As of March 2024, there are 155 CDCs open already, and up to 160 set to open by March 2025.

The National Institute for Health and Care Excellence is currently updating its guideline on diagnosing and managing endometriosis, which will provide healthcare professionals with evidence-based recommendations on diagnosing and treating endometriosis. NHS England is also updating the service specification for severe endometriosis, which sets the standards of care expected from National Health Service organisations.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the Women's Health Strategy for England, updated on 30 August 2022, what recent assessment she has made of the adequacy of progress on the 10-year ambition that women and girls with severe endometriosis experience better care.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

No specific assessment has been made. Care for menstrual problems including endometriosis is a 2024 priority for implementing the Women’s Health Strategy. We are investing £25 million in women’s health hubs, so that women can get better access to care for menstrual problems, including women with suspected or diagnosed endometriosis.

The National Institute for Health and Care Excellence (NICE) is in the process of updating its recommendations on diagnosing endometriosis, and surgical management of endometriosis if fertility is a priority. The NICE will provide information on the expected publication date of its final guidance in due course.

Additionally, NHS England is updating the service specification for severe endometriosis, which defines the expected standards of care. This update will ensure that specialist endometriosis services have access to the most up-to-date evidence and advice, and will improve standards of care for women with severe endometriosis.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the NHS guidance webpage entitled Getting an IUD (intrauterine device) or copper coil fitted or removed, last reviewed on 15 February 2024, whether her Department has made an assessment of the potential impact of the extra pain relief that can be made available during the fitting of intrauterine devices on levels of people with endometriosis having intrauterine devices fitted.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Long-acting reversible contraceptive fitting services are commissioned at a local level to meet the needs of the local population. Local authorities and integrated care boards are responsible for ensuring services are delivered in accordance with quality and safety standards and clinical guidance.

The Faculty of Sexual and Reproductive Healthcare (FSRH), who are responsible for the clinical issue of pain relief during intrauterine contraception procedures, have published updated clinical guidance for healthcare professionals on pain management during these procedures. FSRH guidance is clear that healthcare professionals should work in partnership with women to establish the best strategies for reducing anxiety, and the most effective interventions for minimising pain during intrauterine contraception procedures.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many children in England have been issued puberty blockers since 2019.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

We have always been clear that children’s safety and well-being is paramount, so we welcomed NHS England’s landmark decision to ban routine use puberty blockers to children experiencing gender dysphoria. This decision was based on the available evidence and expert clinical opinion.

Gonadotropin-releasing hormone agonists or puberty blockers are used to treat several medical conditions in children and young people. These can include precocious puberty, some forms of cancer, endometriosis, and gender dysphoria.

Information on the clinical indication for which these medications have been prescribed is not held centrally. The following table shows the number of identifiable patients prescribed and dispensed gonadotropin-releasing hormone agonists for all purposes, in primary and secondary care in England from 2019 to September 2022:

Source: NHS Business Services Authority

Note: Prescriptions have only been included where a National Health Service number has been identified during processing, and an age has been recorded. The same patients may appear in multiple years.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to reduce the time taken for endometriosis diagnoses.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Care for menstrual problems including endometriosis is a 2024 priority for implementing the Women’s Health Strategy. We are investing £25 million in establishing women’s health hubs, which will play a key role in improving access to care for menstrual problems such as suspected endometriosis.

Through the NHS Delivery Plan for tackling the COVID-19 related elective care backlog, we are increasing activity through dedicated and protected surgical hubs that conduct planned procedures only. Surgical hubs are focusing on providing high-volume low-complexity surgery such as laparoscopies for suspected endometriosis. As of March 2024, 48 surgical hubs conduct gynaecological procedures.

Community diagnostic centres (CDCs) are playing an important part in tackling the backlogs of people waiting for diagnostic tests, which includes checks, tests, and scans for patients on gynaecological pathways, including those with endometriosis. As of March 2024, there are 155 CDCs open already, and up to 160 set to open by March 2025.

The National Institute for Health and Care Excellence is currently updating its guideline on diagnosing and managing endometriosis, which will provide healthcare professionals with evidence-based recommendations on diagnosing and treating endometriosis. NHS England is also updating the service specification for severe endometriosis, which sets the standards of care expected from National Health Service organisations.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to improve girls' health.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Health policy is devolved to the Northern Ireland Executive. The Women’s Health Strategy for England sets out our plans for boosting the health and wellbeing of women and girls. It takes a life course approach, focused on understanding the changing health and care needs of women and girls across their lives, from adolescents and young adults to later life. We recently set out our priorities for 2024, which include actions to improve girls’ health, such as improving care for menstrual problems like endometriosis, continuing to roll out women’s health hubs, and boosting research.

In addition, the Department and the National Health Service have a number of universal public health interventions to improve the health and wellbeing of all children, and respond to further needs and safeguarding concerns. This includes investing approximately £300 million over three years to improve support for families though the Family Hubs and Start for Life programme, the Family Nurse Partnership to support vulnerable young mothers, the Healthy Start scheme to encourage a healthy diet for pregnant women, babies, and young children under four years old from low-income households, and Mental Health Support Teams in schools.

To support our ambition to eliminate cervical cancer, all children aged 12 to 13 years old are offered the human papillomavirus (HPV) vaccine. Due to the success of the adolescent HPV programme, there has been an 87% reduction in cervical cancers for those vaccinated when compared to previous generations.

Recognise endometriosis as a disability for women suffering with debilitating pains and give them some protection from losing jobs due to lack of awareness from employers

Found: and the general public in general have no concern or idea what women are experiencing suffering with endometriosis

Found: 07/09/2023 Constituent meetings To discuss the infected blood scandal Victoria Atkins 11/09/2023 The Endometriosis

Found: Endometriosis .

Found: 5,800,000 Pre-agreed Reserve claim from the Labour Markets Evaluation and Pilots (LMEP) Fund for ‘Endometriosis

Found: 5,800,000 Pre-agreed Reserve claim from the Labour Markets Evaluation and Pilots (LMEP) Fund for ‘Endometriosis

Found: This year we’re focusing on improving maternity, care for menstrual problems and conditions like endometriosis